Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea

Background: Diabetes mellitus and its prevalence are rising dramatically in Korea and throughout the world, not only in adults but in adolescents. Objective: This study aimed to identify the sex-specific factors that influence eating disorders in adolescents with type 1 diabetes. Methods: A second...

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Main Authors: Hye-Ryeon Park, Na-Geong Kim
Format: Article
Language:English
Published: Belitung Raya Foundation 2022-12-01
Series:Belitung Nursing Journal
Subjects:
Online Access:https://www.belitungraya.org/BRP/index.php/bnj/article/view/2167
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author Hye-Ryeon Park
Na-Geong Kim
author_facet Hye-Ryeon Park
Na-Geong Kim
author_sort Hye-Ryeon Park
collection DOAJ
description Background: Diabetes mellitus and its prevalence are rising dramatically in Korea and throughout the world, not only in adults but in adolescents. Objective: This study aimed to identify the sex-specific factors that influence eating disorders in adolescents with type 1 diabetes. Methods: A secondary analysis of a descriptive survey was employed. Raw data from 136 adolescents aged 13 to 18 years who were diagnosed with type 1 diabetes were obtained in the original study using the Diabetes Eating Problem Survey-Revised (DEPS-R), Rosenberg Self-Esteem Scale (RSES), and Beck Depression Inventory-II(BDI-II). The data were analyzed using the independent t-test and multiple regression analysis. Results: The female and male participants with eating disorders scored 21.67 ± 11.70 and 13.15 ± 8.03 points, respectively. Among the adolescents with type 1 diabetes, the factors related to eating disorders in female participants were body image satisfaction (β = 0.48, p <0.001) and depression (β = 0.22, p = 0.043), accounting for 33.4% of the variance. While the factors related to eating disorders in the male participants were BMI (β = 0.33, p = 0.006) and depression (β = 0.28, p = 0.017), accounting for 17.4% of the variance. Conclusion: Sex-specific factors should be considered to induce healthy eating behavior in adolescents with type 1 diabetes and reduce eating disorders. Moreover, it is necessary for female adolescents to perceive their body type accurately, and male adolescents need exercise and nutrition education to lower their body mass index. Collaborations between medical practitioners, changes in the medical environment, and social interests are necessary. Since depression is the common factor associated with eating disorders in female and male adolescents with type 1 diabetes, a periodic depression screening test and intervention program that can lower depression should be developed. At the government level, it is necessary to strengthen economic support for cost interventions.  
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spelling doaj.art-db63e87152904264abf4c3c3bb327bd62022-12-27T10:52:02ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732022-12-018610.33546/bnj.2167Eating disorders between male and female adolescents with type 1 diabetes mellitus in KoreaHye-Ryeon Park0Na-Geong Kim1Department of Nursing, Kyungil University, 50, Gamasil-gil, Hayang-eup, Gyeongsan-si, Gyeongsangbuk-do, Republic of KoreaDepartment of Nursing, Gimhae College, 198, Saman-ro 112beon-gil, Gimhae-si, Gyeongsangnam-do, Republic of KoreaBackground: Diabetes mellitus and its prevalence are rising dramatically in Korea and throughout the world, not only in adults but in adolescents. Objective: This study aimed to identify the sex-specific factors that influence eating disorders in adolescents with type 1 diabetes. Methods: A secondary analysis of a descriptive survey was employed. Raw data from 136 adolescents aged 13 to 18 years who were diagnosed with type 1 diabetes were obtained in the original study using the Diabetes Eating Problem Survey-Revised (DEPS-R), Rosenberg Self-Esteem Scale (RSES), and Beck Depression Inventory-II(BDI-II). The data were analyzed using the independent t-test and multiple regression analysis. Results: The female and male participants with eating disorders scored 21.67 ± 11.70 and 13.15 ± 8.03 points, respectively. Among the adolescents with type 1 diabetes, the factors related to eating disorders in female participants were body image satisfaction (β = 0.48, p <0.001) and depression (β = 0.22, p = 0.043), accounting for 33.4% of the variance. While the factors related to eating disorders in the male participants were BMI (β = 0.33, p = 0.006) and depression (β = 0.28, p = 0.017), accounting for 17.4% of the variance. Conclusion: Sex-specific factors should be considered to induce healthy eating behavior in adolescents with type 1 diabetes and reduce eating disorders. Moreover, it is necessary for female adolescents to perceive their body type accurately, and male adolescents need exercise and nutrition education to lower their body mass index. Collaborations between medical practitioners, changes in the medical environment, and social interests are necessary. Since depression is the common factor associated with eating disorders in female and male adolescents with type 1 diabetes, a periodic depression screening test and intervention program that can lower depression should be developed. At the government level, it is necessary to strengthen economic support for cost interventions.   https://www.belitungraya.org/BRP/index.php/bnj/article/view/2167Koreatype 1 diabetes mellituseating disordersexnursing
spellingShingle Hye-Ryeon Park
Na-Geong Kim
Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
Belitung Nursing Journal
Korea
type 1 diabetes mellitus
eating disorder
sex
nursing
title Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
title_full Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
title_fullStr Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
title_full_unstemmed Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
title_short Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
title_sort eating disorders between male and female adolescents with type 1 diabetes mellitus in korea
topic Korea
type 1 diabetes mellitus
eating disorder
sex
nursing
url https://www.belitungraya.org/BRP/index.php/bnj/article/view/2167
work_keys_str_mv AT hyeryeonpark eatingdisordersbetweenmaleandfemaleadolescentswithtype1diabetesmellitusinkorea
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